Description and preliminary results from a structured specialist behavioural weight management group intervention:Specialist Lifestyle Management (SLiM) programme

Brown, Adrian, Gouldstone, Amy, Fox, Emily, Field, Annmarie, Todd, Wendy, Shakher, Jayadave, Bellary, Srikanth, Teh, Ming Ming, Azam, Muhammad, John, Reggie, Jagielski, Alison, Arora, Teresa, Thomas, G. Neil and Taheri, Shahrad (2015). Description and preliminary results from a structured specialist behavioural weight management group intervention:Specialist Lifestyle Management (SLiM) programme. BMJ Open, 5 (4),

Abstract

Background -  Specialist Lifestyle Management (SLiM) is a structured patient education and self-management group weight management programme. Each session is run monthly over a 6-month period providing a less intensive long-term approach. The groups are patient-centred incorporating educational, motivational, behavioural and cognitive elements. The theoretical background, programme structure and preliminary results of SLiM are presented. Subjects/methods - The study was a pragmatic service evaluation of obese patients with a body mass index (BMI) ≥35 kg/m2 with comorbidity or ≥40 kg/m2 without comorbidity referred to a specialist weight management service in the West Midlands, UK. 828 patients were enrolled within SLiM over a 48-month period. Trained facilitators delivered the programme. Preliminary anonymised data were analysed using the intention-to-treat principle. The primary outcome measure was weight loss at 3 and 6 months with comparisons between completers and non-completers performed. The last observation carried forward was used for missing data. Results - Of the 828 enrolled within SLiM, 464 completed the programme (56%). The mean baseline weight was 135 kg (BMI=49.1 kg/m2) with 87.2% of patients having a BMI≥40 kg/m2 and 12.4% with BMI≥60 kg/m2. The mean weight change of all patients enrolled was −4.1 kg (95% CI −3.6 to −4.6 kg, p=0.0001) at the end of SLiM, with completers (n=464) achieving −5.5 kg (95% CI −4.2 to −6.2 kg, p=0.0001) and non-completers achieving −2.3 kg (p=0.0001). The majority (78.6%) who attended the 6-month programme achieved weight loss with 32.3% achieving a ≥5% weight loss. Conclusions - The SLiM programme is an effective group intervention for the management of severe and complex obesity.

Publication DOI: https://doi.org/10.1136/bmjopen-2014-007217
Divisions: Life & Health Sciences > Biosciences
Life & Health Sciences
Life & Health Sciences > Applied Health Research Group
Life & Health Sciences > Biomedical Sciences research group
Additional Information: This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Uncontrolled Keywords: Medicine(all)
Full Text Link: http://bmjopen.bmj.com/content/5/4/e007217
Related URLs: http://www.scopus.com/inward/record.url?scp=84929191490&partnerID=8YFLogxK (Scopus URL)
Published Date: 2015-04-08
Authors: Brown, Adrian
Gouldstone, Amy
Fox, Emily
Field, Annmarie
Todd, Wendy
Shakher, Jayadave
Bellary, Srikanth
Teh, Ming Ming
Azam, Muhammad
John, Reggie
Jagielski, Alison
Arora, Teresa
Thomas, G. Neil
Taheri, Shahrad

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